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Pedicle screw and screw-rod system for the treatment of spinal tuberculosis with continuous irrigation and drainage

A technology of pedicle screw and spinal tuberculosis, which is applied in the direction of wound drainage, enema/irrigator, drug equipment, etc., can solve the problems of easy prolapse, easy recurrence, and difficult operation, and increase the contact surface and friction , expanded indications, good therapeutic effect

Inactive Publication Date: 2017-03-22
丁柱 +2
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

This method has the following defects: (1) The number and location of drainage tubes are limited, and one more drainage tube is placed to enter the abscess through the paravertebral soft tissue, which is only suitable for drainage of paravertebral and prevertebral abscesses, and has poor adaptability; (2) ) At present, the main purpose of the drainage tube is only to drain pus and shrink the abscess cavity, and there is no operation for continuous flushing of the pus cavity. Large effect blank and uncertain effect; (3) There may be a septum in the abscess cavity, which may cause incomplete drainage; (4) Since the drainage tube is only fixed on the soft tissue on the skin surface, the position of the drainage tube is variable and easy to (5) Paravertebral puncture is used to insert a drainage tube, which is traumatic and difficult to operate, causing a high risk of damage to blood vessels and organs, and may even cause abscesses to break into the thoracic cavity and retroperitoneum, causing tuberculosis to spread, resulting in serious adverse events Consequences; (6) Mycobacterium tuberculosis will grow and multiply attached to the drainage tube, which will affect the curative effect
[0004] Based on the above reasons, in clinical treatment, surgery often cannot be performed in time due to poor control of the lesion, which affects the final recovery of spinal cord function; moreover, the lesion after surgery lacks drainage and flushing for a long period of time, resulting in a long course of disease and easy recurrence. Patient inflicts great physical and mental suffering

Method used

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  • Pedicle screw and screw-rod system for the treatment of spinal tuberculosis with continuous irrigation and drainage
  • Pedicle screw and screw-rod system for the treatment of spinal tuberculosis with continuous irrigation and drainage
  • Pedicle screw and screw-rod system for the treatment of spinal tuberculosis with continuous irrigation and drainage

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0061] Such as image 3 , 4 As shown, it is a pedicle screw for the treatment of spinal tuberculosis that can be continuously flushed and drained in the present invention, and it includes a hollow integral nail body 3, a nail tail and a body-tail expansion 40 therebetween, and the outer wall of the nail body 3 Surface antibacterial treatment is carried out on the nail body 3. The blunt head of the nail body 3 can make the nail body break through the front edge of the vertebral body without injuring blood vessels, nerves or passing through the abscess wall. The tail end of the nail is connected to the irrigation / drainage tube, and several micro-holes and main holes for washing / drainage are opened on the nail body 3. The outer surface of the nail body-tail expansion 40 is a prism for loading and unloading of the nail, and the tail surface is used for nail loading and unloading. Support nail bar connectors. Nail body-tail expansion 40 The tail surface is flat, which is convenie...

Embodiment 2

[0066] Such as Figure 5 As shown, the difference between this embodiment and Embodiment 1 is that: for tuberculosis lesions in the vertebral body, the main hole 32 on the nail body 3 is located in the middle of the nail body wall to ensure that the main hole communicates with the lesion to achieve better flushing , drainage, administration.

Embodiment 3

[0068] Such as Figure 8 As shown, the difference between this embodiment and Embodiment 1 is that: when the drainage is not smooth, a guide wire can be used to dredge the channel, detect the lesion and penetrate the abscess cavity. From the drainage / flush tube 4 to the nail body 3, a guide wire 10 for detecting and separating the septum of the abscess cavity is penetrated, the guide wire 10 enters the abscess cavity through the main hole 32 to penetrate the abscess interval, and the abscess cavity can be broken after the guide wire 10 is pulled out The diaphragm is used for drainage to ensure thorough and unobstructed drainage.

[0069] Overcoat the catheter (not shown in the figure) on the guide wire 10, the catheter enters the abscess along the guide wire, select the flushing / drainage point, and flush / drain the septum of the abscess through the catheter after the guide wire is pulled out. When the catheter is inserted, the connecting structure between the tail cap and the ...

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PUM

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Abstract

The invention discloses a sustainable flushing and drainage pedicle screw for treating the spinal tuberculosis and a screw bar system composed of the pedicle screw. The pedicle screw comprises a screw body, a screw tail and a body-tail expansion part, wherein the screw body, the screw tail and the body-tail expansion part are integrated and hollow, and the body-tail expansion part is arranged between the screw body and the screw tail. The tail end of the screw tail is communicated with a flushing / drainage tube, a plurality of micropores and a plurality of main holes used for flushing / drainage are formed in the screw body, a prism is arranged on the outer side face of the body-tail expansion part and used for assembling or disassembling the screw, and the tail face is used for bearing a screw bar connecting piece. The screw bar system comprises the pedicle screw, the screw bar connecting structure and a connecting bar, wherein the screw bar connecting structure is positioned between the screw tail and the connecting bar and supported on the big tail face of the body-tail expansion part, and the connecting bar is fixedly connected to the screw tail through the screw bar connecting structure. The sustainable flushing and drainage pedicle screw and the screw bar system play a role in spine fixing, abscess drainage, flushing, nidus dosing and diseased area dosing, improve adaptability to a spinal tuberculosis operation and achieve a better treatment effect; multi-point flushing, drainage and dosing are achieved, it is avoided that mycobacterium tuberculosis adheres on the screw body and breeds, and the adaptability is high. The sustainable flushing and drainage pedicle screw and the screw bar system are simple in structure, easy to operate and small in wound.

Description

technical field [0001] The present invention relates to a medical device for treating spinal tuberculosis, in particular to a pedicle screw for treating spinal tuberculosis which can be continuously flushed and drained, and also relates to a screw-rod system composed of the above-mentioned pedicle screw, which can be used for tuberculosis The flushing, drainage and medication of the lesion, and the internal fixation of the spine at the same time, can achieve early operation and sufficient drainage for spinal tuberculosis, and cooperate with the focus of medication to expand the indications for spinal tuberculosis surgery, promote the recovery of tuberculosis, stabilize the diseased spine, and reduce complications. Occurs, promotes the recovery of spine and spinal cord functions, and finally achieves the purpose of improving curative effect. Background technique [0002] Spinal tuberculosis is caused by vertebral body lesions caused by tuberculosis infection. Spinal tubercul...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): A61B17/70A61B17/86A61M27/00A61M3/02A61M31/00
CPCA61B17/7008A61B17/7035A61B17/7041A61B17/7061
Inventor 丁柱朱兆洪郭新辉曹阳肖斌库建斌熊学华许啸肖烈钢李国岩杜建平
Owner 丁柱
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